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Updated: Sep 1, 2025

Author Spotlight: Modeling an Aspect of Preeclampsia in Female Mice Using Hypoxic Human Placenta-Derived Small Extracellular Vesicles
Published on: January 26, 2024
Inflammasome activation in preeclampsia and intrauterine growth restriction
Michal Silber1,2, Nadav Dekel1, Ishai Heusler1,2
1Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel.
Insights
Inflammasome proteins NLRP7 and PYCARD are elevated in preeclampsia (PE) and intrauterine growth restriction (IUGR) placental tissues. This finding may lead to new biomarkers for predicting or monitoring PE and IUGR.
Area of Science:
- Reproductive biology
- Immunology
- Pathology
Background:
- Preeclampsia (PE) and intrauterine growth restriction (IUGR) are major causes of perinatal complications, impacting 8%-10% of pregnancies.
- Inflammasomes are implicated in the mechanisms of term and preterm labor.
- Understanding inflammasome involvement in PE and IUGR is crucial for improving maternal and fetal outcomes.
Purpose of the Study:
- To evaluate inflammasome-dependent inflammation in placental tissue from pregnancies complicated by PE and IUGR.
- To investigate the expression of specific inflammasome components (NLRP7 and PYCARD) in PE and IUGR placentas.
Main Methods:
- A prospective cohort study involving 14 women with PE, 15 with IUGR, and 19 with normal pregnancy (NP).
- Collection of maternal blood, cord blood, and placental tissue.
- Analysis of NLRP7 and PYCARD protein expression and localization via immunostaining.
Main Results:
- NLRP7 and PYCARD protein expression were significantly higher in placental samples from PE and IUGR groups compared to the NP group.
- Immunostaining showed upregulation of NLRP7 and PYCARD in syncytiotrophoblast, stroma, and endothelial cells of PE and IUGR placentas.
- PYCARD serum levels were elevated in mothers with PE and IUGR, but no significant changes were found in neonatal cord blood.
Conclusions:
- NLRP7 and PYCARD are key inflammatory proteins significantly elevated in PE and IUGR.
- These proteins may serve as potential biomarkers for the prediction or progression monitoring of PE and IUGR.
- Further research into the role of NLRP7 and PYCARD could lead to novel diagnostic or therapeutic strategies.
Problem:
Preeclampsia (PE) and intrauterine growth restriction (IUGR) are leading causes of perinatal complications, affecting 8%-10% of all pregnancies. Inflammasomes are suspected to be one of the mechanisms that lead to the process of term and preterm labors. This study evaluated the inflammasome-dependent inflammation processes in placental tissue of women with PE and IUGR.
Methods Of Study:
In this prospective cohort study, 14 women with PE, 15 with placental-related IUGR and 19 with normal pregnancy (NP) were recruited during admission for delivery. Maternal blood was obtained prior to delivery and neonatal cord blood and placental tissue were obtained after delivery.
Results:
NLRP7 and PYCARD protein expression were higher in placental PE and IUGR samples versus NP samples. Immunostaining revealed that NLRP7 and PYCARD were upregulated in PE and IUGR placental syncytiotrophoblast, stroma and endothelial cells. PYCARD serum levels were significantly higher in women with PE and IUGR. No significant changes were observed in neonatal cord blood.
Conclusions:
NLRP7 and PYCARD are key inflammatory proteins that are significantly elevated in PE and IUGR. Better understanding their significance may enable them to become markers of prediction or progression of PE and IUGR.
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